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1790799328
BRUCE ALLAN MATIS
INDIANAPOLIS, IN
NPI
1790799328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009604A)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. BRUCE ALLAN MATIS DDS, MSD
1121 W MICHIGAN ST
INDIANAPOLIS, IN 46202-5211
Phone number: 317-278-1099
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Mailing Address
Dr. BRUCE ALLAN MATIS DDS, MSD
7141 CREEKWOOD EST
BROWNSBURG, IN 46112-8425
Phone number: 317-852-2139
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